Organization
METAGENES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DE FRIES (CEO)
(301) 660-6382
Entity
Organization
Contact information
Practice address
22 N MULBERRY ST, LOFT 210, HAGERSTOWN, MD 21740-4870
(301) 660-6382
(240) 597-2174
Mailing address
22 N MULBERRY ST, LOFT 210, HAGERSTOWN, MD 21740-4870
(301) 660-6382
(240) 597-2174
Taxonomy
Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
—
Other
Enumeration date
09/03/2013
Last updated
01/23/2015
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